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<br /> SAN JOAQUIN BOUNTY ENVIRONMENTAL HEALTIi DEPARTMENT
<br /> 600E Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420
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<br /> r ? Donna Heran,R.E.H.S., Director
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<br /> ENVIRONMENTAL HEALTH
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit Permit
<br /> Record ID Number Program Code and Description Valid
<br /> PRO518332 PT0011967 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2010 To 12/31/2010
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 et seq,_and Title 22,Califo-mia_Code of Regulations,Chap._20_________ ____ _
<br /> 31069 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/2010 To 12/31/2010
<br /> Underground Storage Tank Program:
<br /> California Health and Safety Code, Div.20,Chap. and Title 23,California Code of Regulations,Chap_ 16:
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 4 390002310690508126 PT0009543 9,000 REGULAR UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 5 390002310690508127 PT0009544 3,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> Underground Storage Tank Permit Conditions
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<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit Conditions.
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<br /> 2) In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as any conditions
<br /> -: established by San Joaquin County.
<br /> -sf:< 3) If the Tank Operator(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions. The approved
<br /> k` monitoring,response,and plot plans shall be maintained onsite with the permit.
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<br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit.
<br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and
<br /> Is==, provide documentation of such servicing to this office.
<br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan.
<br /> 8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three years from the date the monitoring was
<br /> ft^, performed.
<br />' 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change.
<br /> 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate will be subject to review,modification or
<br /> revocation.
<br /> 11 Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment.
<br /> 12) The Pennittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit.
<br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency.
<br /> 14) A"Conditional"Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated.
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<br /> +Pry ✓"v sY a., £s "" ." ra <'a `s fi x' �ta ¥ffl
<br /> 2ati"$x C^s £ v17' W
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<br /> sn PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
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<br /> PERMIT(s)Valid only for: ELDER, PASSEL (PHILLIP)
<br /> Tank Owner: ELDER, FASSEL
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> * Facility ID
<br /> Regulated f=acility: COUNTRY CLUB FOOD & FUEL MINI MART FA0001909
<br /> 1856 W COUNTRY CLUB BLVD �� r� � Account ID AR0001916 '
<br /> STOCKTON CA 95204 « " - � " � A r
<br /> Issued 2/10/2010 1
<br /> BillingAddress:
<br /> ATTN ELDER, FASSEL M OPERATOR
<br /> COUNTRY CLUB FOOD & FUEL MINI MART*
<br /> 1856 COUNTRY CLUB BLVD
<br /> STOCKTON CA 95204
<br /> 7023 rpt
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